Have you earlier applied for sewa in dera or for employment in pathseekers/RSSB/
Hospital units of MJSMRS or any other society of Dera (Details Thereof)?*

Yes
No

Specify, if spouse/parents/any other relative doing sewa in dera or is employee/sewadar in the school or hospital units of MJSMRS Add Member

NAME

AGE

ADDRESS

Relation

DEPARTMENT

DATE OF JOINING

H/P

MONTHLY SALARY

Any other information (Date of Initiation)?

Declaration By The Candidate

I hereby declare that the information provided by me in the application is true, complete and correct to the best of my knowledge and belief and that nothing has been concealed or distorted. If at any time, I am found to have concealed/distorted any information or given any false statement, my application/appointment shall liable to be summarily rejected/terminated without notice.

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Place*

Note

1. Degrees, Testimonials, Divorce Papers and Certificates need to be provided when asked.
2. Only shortlisted applications will be acknowledged.
3. Applicant called for interview to come at her/his own expense.
4. Medical check-up will be mandatory for all the family members and dependent children.